Mariya Yakutilova
Mariya Yakutilova is a Community/Behavioral Health Agency in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
Practice location Address checks out
10812 72nd AveForest Hills, NY 11375-7079
Phone: (646) 402-4543
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 007061 (NY) |
|---|
Record details
| NPI number | 1962812958 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mariya Yakutilova — Cota · (646) 402-4543 |
| NPI enumerated | April 30, 2014 |
| Last updated in NPPES | April 30, 2014 |
| Mailing address | 9823 Horace Harding Expy Apt 6e, Corona, NY 11368-4258 |
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